Technology Is the 6th Social Determinant of Health
And 67% of Americans Aren't Ready for What's Coming
The TSDOH Assessment Matrix™ is the first-ever tool to measure AI readiness as a fundamental factor in community health and economic survival. Developed through graduate research at Brown University and Johns Hopkins University. Now available to communities nationwide—at a fraction of what top-tier consulting firms would charge.
67%
Never used AI tools
85M
Jobs displaced by 2030
$1.2T
Widening economic gap
The Digital Divide Just Became a Survival Divide
The divide isn't about who has internet anymore. It's about who understands AI—and who will be left behind in the greatest economic shift in human history.
67%
of Americans have never touched an AI tool
85M
jobs will be displaced by AI by 2030
42M
Americans lack reliable internet
$1.2T
economic gap between digital haves and have-nots
"Every day that passes without action is another day the gap widens. The communities that act now will thrive. Those that wait will be left behind."
— Dr. Troy Nash, Creator of the TSDOH Assessment Matrix™Introducing TSDOH
The Technological Social Determinants of Health Assessment Matrix™
Technology Is Now a Health Determinant
For decades, public health researchers have recognized 5 Social Determinants of Health—the non-medical factors that shape life outcomes.
Dr. Troy Nash, during his Master of Public Health studies at Brown University, identified what was missing: Technology Access and Literacy.
In the age of AI, digital access isn't a convenience—it's survival. Those who can't use AI tools will fall behind in healthcare access, job opportunities, education, and wealth building.
TSDOH adds Technology as the 6th determinant. And now you can measure it.
The 6 Social Determinants of Health
Developed by Dr. Troy Nash
Nine degrees. One mission. No community left behind.
Dr. Troy Nash isn't your typical consultant. He grew up in Section 8 housing, was labeled "at-risk" as a child, and was told he wasn't college material. He responded by earning nine advanced degrees from some of America's most respected institutions.
The TSDOH framework was born from his Master of Public Health research at Brown University and refined through his current studies in Data Analytics and Policy at Johns Hopkins University—with a concentration in AI and Machine Learning.
Nine Degrees of Determination
Master of Science in Data Analytics & Policy
Johns Hopkins University, Krieger School of Arts and Sciences
Concentration: AI, Machine Learning, Data Analytics • In Progress
Master of Public Health (M.P.H.)
Brown University, School of Public Health
Where TSDOH was conceived
Doctor of Education (Ed.D.)
Saint Louis University, School of Education
Master of Urban Planning (M.U.P.)
University of Southern California, Sol Price School of Public Policy
Master of Business Administration (M.B.A.)
University of Missouri-Kansas City, Henry W. Bloch School of Management
Juris Doctor (J.D.)
University of Missouri-Kansas City, School of Law
Master of Arts in Economics (M.A.)
University of Missouri-Kansas City, College of Arts and Sciences
Master of Arts in Political Science (M.A.)
University of Missouri-Kansas City, College of Arts and Sciences
Bachelor of Science in Economics (B.S.)
Wesley College, Dover, Delaware
Earned while serving on active duty, United States Air Force
Not Your Typical Consulting Engagement
Top-Tier Consulting Firms
- $150,000 - $500,000+ for similar work
- Generic frameworks borrowed from textbooks
- Consultants who study communities from afar
- Profit-driven engagement models
- One-size-fits-all recommendations
- Months-long timelines
AGI Affinity
- $5,000 - $150,000 for comprehensive assessment
- Proprietary TSDOH Assessment Matrix™
- Created by someone who lived it (Section 8 → 9 degrees)
- Mission-driven: no community left behind
- Customized to your community's reality
- Results in weeks, not months
6 Life Domains. 36 Questions. Complete Picture.
The TSDOH Assessment evaluates technology readiness across every area of life that matters.
Home Environment
Internet access, devices, connectivity quality, and digital infrastructure in the home.
Employment & Income
Digital skills for work, AI tool proficiency, remote work readiness, and economic opportunity.
Healthcare Access
Telehealth capability, patient portal access, health information literacy, and AI health tools.
Education & Learning
Online learning access, digital literacy skills, educational technology use, and AI learning tools.
Civic Engagement
Access to government services, online civic participation, digital communication with representatives.
Social Connection
Digital communication with family and community, social media literacy, online safety awareness.
Organizations That Can't Afford to Wait
If you serve communities, you need to understand their digital readiness. Before it's too late.
Municipalities & Government
Cities, counties, and state agencies seeking data-driven policies to ensure no neighborhood gets left behind in the AI revolution.
Nonprofits & Community Orgs
Mission-driven organizations working to serve underserved populations who need to understand and address technology barriers.
Foundations & Philanthropies
Grantmaking organizations that want data-driven insights on AI readiness to inform community investments.
Housing Authorities
Affordable housing organizations seeking to understand digital barriers facing residents—from telehealth to remote work.
Educational Institutions
Schools, colleges, and workforce programs preparing students for an AI-driven economy who need to identify technology gaps.
Healthcare & Social Services
Organizations serving vulnerable populations who need to understand technology barriers impacting healthcare access.
From Assessment to Action
A clear, proven process that delivers actionable insights your organization can use immediately.
Deploy Assessment
We customize and deploy the 36-question assessment to your community or organization members.
Collect Data
Responses are collected securely and anonymously, measuring readiness across all 6 life domains.
Analyze & Report
We deliver a comprehensive report with scores, gaps, comparisons, and visualizations.
Action Roadmap
Receive specific recommendations and an action plan to close gaps and improve readiness.
Assessment Packages
World-class methodology at community-accessible pricing. Every assessment includes a comprehensive report and action roadmap.
Nonprofit / CBO
$5,000 - $15,000
Community organizations & small nonprofits
- Full TSDOH Assessment Matrix™
- Up to 500 participants
- Comprehensive report & analysis
- Domain-by-domain breakdown
- Detailed action roadmap
- 1-hour consultation call
- Regional benchmark comparison
Municipal / Foundation
$25,000 - $50,000
Cities, counties, foundations, housing authorities
- Full TSDOH Assessment Matrix™
- Up to 2,500 participants
- Executive presentation (virtual or in-person)
- Multi-neighborhood comparisons
- Policy recommendation brief
- Stakeholder presentation deck
- 3 consultation calls
- 90-day follow-up review
Enterprise / State Agency
$75,000 - $150,000+
State agencies, large metros, major foundations
- Full TSDOH Assessment Matrix™
- Unlimited participants
- Multi-site/multi-city deployment
- Custom benchmarking & comparisons
- Board/Council presentation
- Grant-ready data package
- Ongoing consulting retainer available
- White-label options available
Sponsor-Funded
Free
For qualifying community organizations
- Full TSDOH Assessment Matrix™
- Up to 250 participants
- Community summary report
- Domain-by-domain breakdown
- Basic action recommendations
- Digital delivery
- Must meet qualifying criteria
💡 Individual self-assessments are always FREE. Take yours now →
Ensuring No Community Gets Left Behind
Sponsor-Funded Assessments
We believe cost should never prevent a community from understanding its digital readiness. That's why we created the Community Assessment Fund—a sponsor-supported program that provides free TSDOH assessments to qualifying organizations.
Qualifying Community Organization Criteria
Organizations must meet ALL THREE requirements:
✓ Tax Status
Must be one of the following:
- 501(c)(3) nonprofit organization
- 501(c)(4) social welfare organization
- Faith-based organization
- Public housing resident council
✓ Budget Threshold
Must meet one of these criteria:
- Annual operating budget under $1,000,000
- OR serving a community where 50%+ of residents are below 80% Area Median Income
✓ Mission Alignment
Primarily serves one or more:
- Low-to-moderate income families
- Public housing residents
- Rural communities (under 25,000)
- Seniors on fixed income
- Immigrant/refugee communities
- Youth in underserved schools
PLUS at least one geographic criterion:
Located in HUD Qualified Census Tract • USDA Rural Development eligible area • Designated Opportunity Zone • Community with poverty rate above 20% • Area with broadband access below 70%
Become a Sponsor
Corporations, foundations, and government agencies can contribute to the Community Assessment Fund to ensure underserved communities have access to the TSDOH Assessment.
Community Champion
$5,000
Sponsors 1 community assessment
Regional Partner
$25,000
Sponsors 5 community assessments
Transformation Leader
$100,000
Sponsors 20+ assessments + recognition
Sponsors Receive
- Impact reports showing communities served
- Recognition on AGI Affinity website
- Aggregated insights on regional readiness
- Invitation to annual Summit
Top Consulting Firms Charge $250,000+
The same rigorous methodology—made accessible to the communities that need it most. But the AI divide widens every day. The organizations that act now will thrive. Those that wait will spend years playing catch-up.
Ready to Know Where You Stand?
Whether you're a small nonprofit seeking a sponsored assessment or a state agency planning a major deployment, we have a path for you. The AI revolution won't wait. Neither should you.